Healthcare Provider Details

I. General information

NPI: 1053229211
Provider Name (Legal Business Name): CODEX MEDICAL GROUP CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 CHANNING AVE
PALO ALTO CA
94301-3025
US

IV. Provider business mailing address

1465 CHANNING AVE
PALO ALTO CA
94301-3025
US

V. Phone/Fax

Practice location:
  • Phone: 650-391-7004
  • Fax:
Mailing address:
  • Phone: 650-391-7004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MURARI SRINIVASAN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 650-391-7004